Insurance Verifier

Job description

Job Summary : Responsible for insurance verification, initial authorization for treatment/procedures, estimation and collection and/or resolution of patient responsibility on all inpatients, observations, and scheduled outpatient procedures as defined within the scope of their population. Must maintain current knowledge of requirements for managed care and government programs to maximize reimbursement for services provided. Ability to calculate and communicate amounts due to patient population served.
Qualifications : Education and formal training: Two year college degree in Business Administration or equivalent work experience. Minimum of 1 year experience in patient accounts in healthcare environment. Current knowledge of managed care and government programs required. Customer service experience preferred. Special Skills/ Abilities: Excellent communication and decision making skills. Ability to type 45 WPM.